Connecticut Child STEPs

Depression Clinical Trial

Official title:

Child STEPs for Youth Mental Health in Connecticut

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03153904
• Other study ID #: 13-1904
• Status: Completed
• Phase: N/A
• Start date: October 2013
• Est. completion date: June 2018

Study information

• Verified date: August 2018
• Source: Harvard University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Connecticut Child STEPS is a randomized controlled trail investigating the effectiveness of MATCH-ADTC in treating anxiety, depression, trauma, and/or behavioral problems in children seeking services at four Department of Children and Families (DCF) funded clinics in the state of Connecticut. The study will evaluate child outcomes following two forms of therapist training in the MATCH model.

Description:

This randomized controlled trial (RCT) will investigate the effectiveness of a modular, transdiagnostic treatment protocol for youth with anxiety, depression, trauma, and/or behavioral problems (MATCH-ADTC) in four DCF funded clinics in the state of Connecticut. MATCH synthesizes common elements found across dozens of evidence-based treatments into one model that is flexible and responsive to the complex needs of children and families. The RCT will evaluate child outcomes following two forms of therapist training in the MATCH model: (1) the 6-day MATCH training only; (2) the 6-day MATCH training plus weekly ongoing case consultation with a MATCH consultant. Participating children are between the ages of 7 and 15.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 210
• Est. completion date: June 2018
• Est. primary completion date: June 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 7 Years to 15 Years

Eligibility

Inclusion Criteria:

1. 7 to 15 year old child and their caregivers

2. seeking services at community mental health clinics

3. primary problem or disorder related to anxiety, traumatic stress, depression, or conduct problems, or any combination of the four problems

Exclusion Criteria:

1. child is outside of 7-15 age range

2. child does not have elevations in the areas of anxiety, depression, conduct, or posttraumatic stress

3. child is experiencing other primary clinical problems outside of MATCH focus such as:

• ADHD identified as primary reason for seeking treatment

• Schizophrenic spectrum disorder including Major Depressive Disorder with psychotic features

• Autism spectrum disorder including Pervasive Developmental Disorder, Asperger's Disorder, Child Disintegrative Disorder, Rett's Disorder

• Eating disorder including Anorexia Nervosa and Bulimia Nervosa

• Mental Retardation

4. having been hospitalized for suicidal thoughts or behaviors within the past year

5. if the problem area of focus is beyond the scope of outpatient treatment and MATCH (e.g., severe aggression, psychosis, severe current suicidal ideation)

6. if child does not have a primary caregiver that can be involved in treatment and complete research assessments

Related Conditions & MeSH terms

• Anxiety
• Behavior Problems
• Depression
• Problem Behavior
• Trauma

Intervention

Behavioral:
• Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, and Conduct Problems
MATCH-ADTC (Chorpita & Weisz, 2009) is designed for children aged 6-15. Unlike most evidence-based treatments (EBTs), which focus on single disorder categories (e.g., anxiety only), MATCH is designed for multiple disorders and problems encompassing anxiety, depression, post-traumatic stress, and disruptive conduct, including the conduct problems associated with ADHD. MATCH is composed of 33 modules—i.e., specific treatment procedures derived from decades of research on EBTs. The various modules can be organized and sequenced flexibly to tailor treatment to each child's characteristics and needs.

Other:
• Monitoring and Feedback System
For each child, the web-based MFS provides weekly monitoring of the MATCH modules used and the child's treatment response, in two forms (a) changes on the Brief Problem Monitor (BPM) and (b) changes in severity of the top treatment concerns identified by youths and caregivers. At the end of treatment, the MFS provides a complete record of modules used, and child treatment response, across all weeks of treatment.

Locations

Country	Name	City	State
United States	Harvard University	Cambridge	Massachusetts

Sponsors (1)

Lead Sponsor	Collaborator
Harvard University

Country where clinical trial is conducted

United States, 

References & Publications (1)

Chorpita, B.F., & Weisz, J.R. (2009). Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, or Conduct Problems (MATCH-ADTC). Satellite Beach, FL: PracticeWise, LLC.

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Brief Problem Monitor (BPM)		Weekly from baseline to the end of treatment, and every three months therafter until 18 month follow-up
Primary	Top Problems Assessment (TPA)		Weekly from baseline to the end of treatment, and every three months therafter until 18 month follow-up
Secondary	Therapist Satisfaction Inventory (TSI)		Change over time from Day 1 to end of treatment, an average of 22 weeks after baseline
Secondary	Youth Services Survey for Families (YSS-F)		Post-treatment, an average of 22 weeks after baseline
Secondary	Youth Self-Report and Child Behavior Checklist		Change over time from Day 1 to 18 month follow-up
Secondary	Evidence-Based Practice Attitudes Scale (EBPAS)		Post-treatment, an average of 22 weeks after baseline
Secondary	Early Adolescent Temperament Questionnaire Revised (EATQ-R)		Change over time from Day 1 to 18 month follow-up
Secondary	Child Satisfaction Survey (CSC)		Post-treatment, an average of 22 weeks after baseline
Secondary	Therapeutic Alliance Scale for Children (TASC)		Post-treatment, an average of 22 weeks after baseline